Provider Demographics
NPI:1265043681
Name:ROBEY, TERRY LEE (LCMFT, LCAC)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:LEE
Last Name:ROBEY
Suffix:
Gender:M
Credentials:LCMFT, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 N DODGE AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-5905
Mailing Address - Country:US
Mailing Address - Phone:316-330-3297
Mailing Address - Fax:316-358-7549
Practice Address - Street 1:514 N DODGE AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5905
Practice Address - Country:US
Practice Address - Phone:316-330-3297
Practice Address - Fax:316-358-7549
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS534106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist